Resident Representative Jobs
Resident representative jobs are open across insurance, financial services, nonprofit, and government sectors, from entry-level to senior and regional roles, with specializations in community outreach, client relations, and territory management. Find a role that fits below and apply directly.
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Showing 5 of 18+ Resident Representative jobs
Job Summary
Assists in resolving customer concerns, providing appropriate education/instruction and maintaining customer satisfaction by providing the highest level of customer service. Actively participates in cross training, improving processes within the Customer Service team.
Job Duties
- Resolves and reconciles enrollment reports and all related eligibility issues by following policy and procedure as well as any state legislated coverage and eligibility guidelines.
- Initiates communication and literature to the newly enrolled Health Plan member, dependents and employer groups.
- Interprets and appropriately applies rules and regulations in contractual agreements and with employer groups and vendors.
- Performs membership data extract reports and supplies them to employer groups as an audit tool for accuracy and compliance with performance risk guarantee commitments.
- Updates, approves and interprets membership data and workflow produced by online software capabilities in employer group modules.
- Determines the eligibility of most members as well as processing terminations and disenrollments.
- Prepares, generates and appropriately disseminates letter communications to subscribers and members with regard to enrollment activity.
- Determines if services received are covered benefits as applicable by line of business and product design.
- Reviews suspended claims for resolution by applying current policies, procedures and benefits applicable to specific products.
- Provides team building resources to assist in directing peers to proper claims resolution policies and procedures in order to assist members and providers.
- Provides daily support and advice to member and provider services staff regarding claims issues.
- Researches claim issues from participating providers and identifies specific criteria for reconsideration for payment.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Education
High School Diploma or Equivalent (GED)- (Required)Experience
Minimum of 1 year-Customer Service (Required)Skills
Communication; Customer Service; Customer RetentionsAbout Geisinger
Founded more than 100 years ago by Abigail Geisinger, the system now includes ten hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,700 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Learn more at geisinger.org or connect with us on Facebook, Instagram, LinkedIn and Twitter.
Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.
Our Vision & Values
Everything we do is about making better health easier for our patients, our members, our students, our Geisinger family and our communities.
KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
EXCELLENCE: We treasure colleagues who humbly strive for excellence.
LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
SAFETY: We provide a safe environment for our patients and members and the Geisinger family.
Our Benefits
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and prescription coverage.
Job Summary
Assists in resolving customer concerns, providing appropriate education/instruction and maintaining customer satisfaction by providing the highest level of customer service. Actively participates in cross training, improving processes within the Customer Service team.
Job Duties
- Resolves and reconciles enrollment reports and all related eligibility issues by following policy and procedure as well as any state legislated coverage and eligibility guidelines.
- Initiates communication and literature to the newly enrolled Health Plan member, dependents and employer groups.
- Interprets and appropriately applies rules and regulations in contractual agreements and with employer groups and vendors.
- Performs membership data extract reports and supplies them to employer groups as an audit tool for accuracy and compliance with performance risk guarantee commitments.
- Updates, approves and interprets membership data and workflow produced by online software capabilities in employer group modules.
- Determines the eligibility of most members as well as processing terminations and disenrollments.
- Prepares, generates and appropriately disseminates letter communications to subscribers and members with regard to enrollment activity.
- Determines if services received are covered benefits as applicable by line of business and product design.
- Reviews suspended claims for resolution by applying current policies, procedures and benefits applicable to specific products.
- Provides team building resources to assist in directing peers to proper claims resolution policies and procedures in order to assist members and providers.
- Provides daily support and advice to member and provider services staff regarding claims issues.
- Researches claim issues from participating providers and identifies specific criteria for reconsideration for payment.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Education
High School Diploma or Equivalent (GED)- (Required)Experience
Minimum of 1 year-Customer Service (Required)Skills
Communication; Customer Service; Customer RetentionsAbout Geisinger
Founded more than 100 years ago by Abigail Geisinger, the system now includes ten hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,700 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Learn more at geisinger.org or connect with us on Facebook, Instagram, LinkedIn and Twitter.
Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.
Our Vision & Values
Everything we do is about making better health easier for our patients, our members, our students, our Geisinger family and our communities.
KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
EXCELLENCE: We treasure colleagues who humbly strive for excellence.
LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
SAFETY: We provide a safe environment for our patients and members and the Geisinger family.
Our Benefits
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and prescription coverage.
Resident Representative Jobs by Experience Level
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Find Resident Representative JobsResident Representative Job Market
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
- Consulting & Professional Services
What Employers Look For
The qualifications that appear most often in resident representative jobs.
- Bachelor's degree in business, public health, social work, or a related field
- Two or more years of client-facing or community relations experience
- Valid driver's license and reliable transportation for field visits
- Proficiency with CRM software for tracking client interactions and reporting
- Strong written and verbal communication skills for presenting to diverse audiences
- Relevant state license or certification such as a life and health insurance license
Tips for Your Resident Representative Job Search
Tailor your resume for territory ownership
Resident representative roles expect you to manage a defined geography independently. Your resume should call out specific territories you've owned, the size of your account base, and how you built relationships without daily supervision from a central office.
Apply early to roles that fit
Migrate Mate lists resident representative openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Highlight field-based communication credentials
Many hiring managers screen for candidates who can represent an organization face-to-face without hand-holding. Certifications in community health, insurance licensing, or public relations signal you're prepared to operate as the employer's on-the-ground voice.
Filter openings by sector before you apply
The day-to-day reality of a resident representative job in insurance looks nothing like one in nonprofit community development. Narrow your search by industry first so your cover letter can reference the specific population, product, or policy area the employer serves.
Prepare for scenario-based interview questions
Interviewers will test how you handle conflict, build trust in unfamiliar communities, and prioritize competing demands without a manager nearby. Practice walking through real situations where you resolved a client or community concern independently and without escalation.
Negotiate relocation terms before you sign
Resident representative roles often require you to live within the assigned territory. Before accepting an offer, clarify whether relocation assistance is included, whether the employer expects a specific zip code, and how territory boundaries are redrawn when staff changes occur.
Resident Representative Jobs: Frequently Asked Questions
Which companies are hiring the most resident representatives?
HDR, Veolia, and Gilbane are hiring the most resident representatives right now, with openings concentrated in New York, Pennsylvania, and California, based on current listings on Migrate Mate as of November 2026. Demand tends to be strongest in organizations with field-based service models, including insurers, managed care plans, and regional nonprofits.
How many resident representative jobs are remote?
About 50% of resident representative openings are fully remote or hybrid as of November 2026, though the nature of field-based roles means many require a physical presence within a defined territory. Administrative, reporting, and coordination duties are most likely to be performed remotely, while community engagement and in-person client work typically remain on-site.
How do you become a resident representative?
Start by earning a bachelor's degree in a field relevant to the sector you want to enter, such as public health, social work, business, or communications. Build direct experience in a client-facing or community-based role, then pursue any sector-specific license your target employers require, such as a state insurance license. Apply to roles that match your geographic availability, since most positions require you to live within or near the assigned territory.
Can you get a resident representative job with little experience?
Entry-level resident representative roles do exist, particularly in insurance sales, nonprofit outreach, and government-sponsored community programs. Employers hiring candidates with limited experience typically look for demonstrated ability to work independently, strong interpersonal skills, and geographic knowledge of the assigned area. Volunteering, internships in community organizations, or part-time client service roles can substitute for formal work history when your resume makes the connection explicit.
What does the resident representative interview process look like?
Most employers start with a phone or video screen to confirm your availability for the specific territory and your comfort working independently in the field. A second round typically involves scenario-based questions testing how you handle difficult clients, build community trust, and manage competing priorities without direct supervision. Some employers add a final step where you meet regional leadership or present a brief territory plan based on information they provide in advance.
Where can I find and apply to resident representative jobs?
You can find and apply to resident representative jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your background, location, and industry preference, then apply directly to each one that fits.
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